26. How do you usually get to your final destination after you get dropped off by this
vehicle? (Check all that apply)
† Walk
† Bus _______(Line) † I am dropped off at the final location
† Car
† Train_______(Line)
† Taxi
† Other (Please specify)_____________________________________
27. Do you usually use this service for a return trip?
† Yes
† No (Skip to comments)
Complete this survey for a chance to win
1 out of 10 $50 CASH PRIZES!
Your opinions will help the county bus service continue! Please fill out and return your
completed survey in the postage-paid envelope provided within two weeks and you will
be entered to win one out of 10 $50 cash prizes! Please accept the coin purse as a token
of our appreciation. All responses will be kept strictly confidential.
28. If yes, what time do you usually get on the vehicle for your return trip?
_____ : _____ AM or PM (Circle either AM or PM)
101
IV.
I. ABOUT YOU
ADDITIONAL COMMENTS
Are there any other comments you have about this service?
If you would like to be entered for a chance to win 1 out of 10 $50 cash prizes, please
provide the following:
_______________________________________
Your name
_______-_______-__________
Daytime Phone Number
_______________________________________
Address
_______-_______-__________
Evening Phone Number
_________________________________
City
_______
State
____________________
Zip Code
_____________________________________________
E-mail Address
Thank you for participating in this survey.
Your opinions are very valuable to us!
Please return the survey in the postage-paid envelope provided
within two weeks.
CAMDEN COUNTY DEMAND RESPONSE ROUTE
___________________________________________________________________
___________________________________________________________________
† Male
† Female
2. What is your age?
† Under 18 years
† 18-24 years
† 25-34 years
† 35-44 years
† 45-54 years
† 55-59 years
† 60-64 years
† 65 years or over
3. Including yourself, how many family members are living in your household?
† One
† Four
† Seven
† Two
† Five
† Eight
† Three
† Six
† Nine or more
___________________________________________________________________
___________________________________________________________________
1. Are you…?
4. What is your marital status?
† Single
† Married
† Divorced
† Separated
† Widowed
5. How many children (under 18) are there in your household?
† None (Skip to Q7)
† One
† Three
† Five
† Seven
† Two
† Four
† Six
† Eight or more
6. How many of your children (under 18) use this service?
† One
† Three
† Five
† Seven
† None
† Two
† Four
† Six
† Eight or more
7. In which group would you place yourself?
† Clerical/Secretarial † Sales/Retail
† Retired
† Homemaker
† Student
† Non-office worker
† Management/Professional
† Not currently employed
† Other (Please specify) _________________________________________
8. Are you of Spanish/Hispanic/Latino origin?
† Yes
† No
9. And do you consider yourself…
† White
† Asian or Pacific Islander
† Black or African American
† American Indian or Alaska Native
† Other (Please specify) ________________________________________
10. What is your approximate yearly household income?
† Under $2,500
† $6,500-$7,999 † $21,500-$24,999
† $2,500-$3,499 † $8,000-$9,999 † $25,000-$29,999
† $3,500-$4,499 † $10,000-$11,999 † $30,000-$34,999
† $4,500-$4,999 † $12,000-$14,999 † $35,000-$39,999
† $5,000-$5,499 † $15,000-$18,499 † $40,000-$44,999
† $5,500-$6,499 † $18,500-$21,499 † $45,000-$49,999
†
†
†
†
$50,000-$59,999
$60,000-$69,999
$70,000 or more
No Income
11. Do you have a disability or impairment that makes it difficult for you to use this
vehicle?
† Yes (Please specify) _________________________________________________
† No
ABOUT YOUR TYPICAL TRIP USING THE SERVICE
18. Usually, where do you begin your trip when you use this service?
† Home † Work † Other (Please specify)_____________________________
19. What is that address?
___________________________________________________________________
Address or Street Intersection
___________________________________________________________________
City/Town
State
Zip Code
20. And where do you usually get ON the vehicle?
II. HOW YOU USE THIS SERVICE
12. How long have you been using this service?
† Less than 3 months
† 9 months-1 year
† 3-6 months
† 1-2 years
† 6-9 months
† 2-5 years
___________________________________________________________________
Address or Street Intersection
† 5-10 years
13. How often do you use this service?
† 6-7 days per week
† 2-3 days per week
† 4-5 days per week
† 1 day per week
14a. Do you pay a fare for using this service?
III.
† Yes
† Only occasionally
† First time user
† No (Skip to Q15)
14b. If yes, how do you pay for the ride?
† Cash † Pass † Other method (Please specify)________________________
15. How did you hear about this bus service? (Check all that apply)
† Radio
† Case worker
† Other (Please specify)
† Employer
† Brochure
______________________________
† Newspaper
† Job training program
16. If the service was not available, how would you make your trip? (Check only one)
† Drive alone
† Taxi
† Would not make the trip
† Carpool
† Walk/Bike
† Get dropped off † Other (Please specify)______________________________
17. Please rate this county service (in general) using a scale of 0 to 10, where 0 means
“Not Acceptable,” 5 means “Acceptable” and 10 means “Excellent.”
Not Acceptable
Acceptable
Excellent
a. Overall rating:
T
T
T
0 1 2 3 4 5 6 7 8 9 10
b. What one thing would you suggest to improve this service?
_______________________________________________________________
_______________________________________________________________
___________________________________________________________________
City/Town
State
Zip Code
21. At what time do you usually board the vehicle from the location you just mentioned?
____ : ____ AM or PM (Please circle either AM or PM)
22. How do you usually get to the stop where you board the vehicle?
(Check all that apply)
† Am picked up by the vehicle
† Walk
† Carpool/Share a ride
† Take a taxi
† Get dropped-off
† Take a bus ______(Line)
† Other (Please specify)
† Drive alone
† Take a train______(Line)
_________________
23. Where are you usually headed when you use this service? (Check only one)
† Home
† Medical
† Recreation † Other (Please specify)
† Work
† School/Job training † Child care
___________________
† Shopping
† Job Search/Interview
___________________
24. What is the location/intersection where you usually get dropped OFF by the vehicle?
___________________________________________________________________
Address or Street Intersection
___________________________________________________________________
City/Town
State
Zip Code
25. What is the address of your final destination after being dropped off by the vehicle?
† Please check the box if the address is the same as in Q24.
___________________________________________________________________
Address or Street Intersection
___________________________________________________________________
City/Town
State
Zip Code